Individual provider Active NPI

Carmen Espitia, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1811998636
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12044 Issued in NV
Practice address
1640 E Charleston Blvd
Las Vegas, NV 89104-1826
Phone
(702) 647-2583
Fax
(702) 647-2511
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12044 NV Primary

Addresses

Primary practice location

1640 E Charleston Blvd
Las Vegas, NV 89104-1826

Mailing address

1640 E Charleston Blvd
Las Vegas, NV 89104-1826
Phone (702) 647-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000260 NV Practitioner - Family Practice 4981686078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmen Espitia MD PCGroup PAC ID 6204993421, 2 clinicians

Practice addresses (Care Compare)

1640 E Charleston Blvd
Las Vegas, NV 89104-1826
Phone (702) 647-2583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12044NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Espitia MD PC Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Northeast Valley Health Corporation Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
Northeast Valley Health Corporation Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

1640 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 647-2583

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1811998636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041826",
            "telephone_number": "702-647-2583",
            "fax_number": "702-647-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041826",
            "telephone_number": "702-647-2583",
            "fax_number": "702-647-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPITIA",
        "first_name": "CARMEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "12044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.